• Child Health Nursing Research
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• 제22권2호
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• pp.107-116
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• 2016

Purpose: Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. Methods: We searched five electronic databases for relevant articles and used Whittemore and Knafl's integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. Results: Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, (d) coaching of medical staff. Conclusion: For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.

• 성인간호학회지
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• 제18권3호
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• pp.395-404
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• 2006

Purpose: This study investigated the effect of a structured group intervention on knowledge about lung cancer, self efficacy and quality of life for family caregivers of patients with lung cancer using a nonequivalent control groupquasi-experimental design. Methods: Subjects were 11 family caregivers for both the control and the experimental group. The experimental group participated in once a week for 2-hour session for 4 weeks. Four topics of educational program were lung cancer and treatment, side effects of treatments, symptoms management, and health management. Every session consisted of lecture, sharing experiences, and meditating time. Quality of life was measured using Jang(1996)'s tool. The tools for knowledge and self-efficacy were developed by the authors. Results: After the intervention, the experimental group showed higher self-efficacy in caring for the patients than did the controls. However, there were no significant differences in knowledge about lung cancer and quality of life between the two groups. Conclusion: Findings indicate that the group intervention would be effective for family caregivers of lung cancer patients.

• 부모자녀건강학회지
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• 제19권1호
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• pp.9-16
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• 2016

Purpose: The disease specific self-efficacy of mothers caring children with atopic dermatitis is a crucial factor for adherence to recommended treatments. This study investigated factors associated with disease specific self-efficacy of mothers of atopic dermatitis children. Methods: A cross-sectional study was used. One hundred twenty five mothers recruited from the out-patient clinic of three hospitals completed self-administrative questionnaires, including the disease specific self-efficacy, general parenting efficacy, and severity of atopic dermatitis. Descriptive statistics, ANOVA, and multiple regression analysis were performed. Results: The degree of disease specific self-efficacy of mothers was significantly different according to the disease severity, and parenting efficacy. 26.0% of the variance of disease specific self-efficacy was explained by the severity of disease and parenting efficacy. Conclusions: Future studies need to focus on the development of educational programs that will help to improve mothers' disease specific self-efficacy as well as parenting efficacy.

• Child Health Nursing Research
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• 제7권3호
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• pp.267-279
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• 2001

The object of this study is to provide the basic data for the caring of parents by understanding emotional status, physical status, and family support of parents with cardiac disease children. The subjects of this study were consisted of 105 parents of cardiac disease children admitted at 'G' hospital in Inchon, and 'S' hospital in Puchon. The data were collected from November 6 to December 21, 2000. Four instruments were used to collect the data : Spielberger's STIS, Cornell Medical Index(CMI), Yang's stress scale, and Moos's Family Environment Scale Form R, the latter 3 are modified by researcher. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows: 1. There were statistically significant differences in degree of anxiety on age, number of children, and children's order of birth. 2. There was a statistically significant difference in degree of physical status on presence of the other patient in family. 3. There were not statistically significant differences in degree of stress and family support on demographic factors. 4. There were positive correlations between physical status and family support, and between anxiety and stress, but negative correlations between family support and stress, between anxiety and family support, between anxiety and physical status, and between stress and physical status.

• 대한간호학회지
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• 제37권2호
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• pp.192-200
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• 2007

Purpose. The current study was aimed to investigate the transformational experience of a female student nurse living with type 1 diabetes. Methods. A case study of a 24-year-old diabetes patient was conducted, with interviews concerning the evolving process she had lived through during the period from her later high school years to her graduation from nursing college. Results. Followings were identified as 5-transformation process: With her diabetes-related limitation, the participant experienced 'conflict involving choosing a college and major'. The participant tried to be in charge of managing her diabetes and stepped forward to 'adaptation to college life as a new environment', and she learned more about the process of 'evolving awareness of caring' and developed herself further through the process of 'integration of the nurse identity into self-identity', and finally through the process of 'progression and preparation for getting a job' she achieved her goals, being positive about the future. Conclusions. The results of the study can provide individuals with diabetes a way of self-management and help the patients and their families in diabetes education. Further research will be needed to refine the results of this study and to learn more about the experiences of patients with type I diabetes in college years.

• 종양간호연구
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• 제7권1호
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• pp.3-13
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• 2007

Purpose: The purpose of this study was to identify the relationship of fatigue and functional status in patients with cancer. Method: The data were collected from August, 15 to October, 10, 2005. The subjects were recruited from three university hospitals and two general hospitals in B, U, and S cities in Korea. Fatigue was measured using the Fatigue Scale for Cancer Patients, and Functional Status was measured using the Karnofsky Performance Status Index. Result: 1) The mean score of fatigue was $79.72{\pm}21.25$(range: 26-130), and the mean score of functional status was $79.33{\pm}13.02$. 2) There were significant differences in the scores of fatigue by sex, age, marital status, employment, major care-giver, pain, and period after diagnosis. 3) There were significant differences in the scores of functional status by employment, major care-giver, pain, stage of cancer, period after diagnosis, and type of cancer. 4) There was a significant negative correlation between fatigue and functional status (r= -.472, p= .000). Conclusion: Increase in fatigue was associated with decrease in functional status in patients with cancer. Nurses must assess fatigue and functional status when caring for the cancer patients, and provide nursing intervention to relieve fatigue and to improve functional status.

• 대한지역사회영양학회지
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• 제2권4호
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• pp.616-623
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• 1997

This study was conducted to investigate and to improve the actual condition of food service for patients in hospitals. For this purpose, questionnaires were distributed to 283 patients admitted to a university hospital and three general hospitals between January 27 and February 15, 1997. The department participated in the study included internal medicine, surgery, obstetrics, orthopedics and so forth. For meal time, 61.1$\%$ of patients wanted to eat breakfast at 8 am, 55.8$\%$ lunch at noon, and 73.5$\%$ dinner at 6 pm. The patients complained about unsatisfactory hospital food itself by 37.8$\%$, about insufficient food amount by 19.6$\%$, about menu with no choice by 41.2$\%$ and about low variety of the meals by 32.7$\%$. Sixty two point nine percent of the subjects enjoyed snacks between meals because of poor appetite at meal time(46.1$\%$), delayed food service(39.9$\%$) and others(11.2$\%$). The types of diet were mainly regular ones(58.6$\%$) with some high protein(12.4%) and diabetic sensitive ones(7.1$\%$). As eating place, the patient's prefered bed(51.9$\%$), room-table(27.2$\%$) and dining room(17.7$\%$). Fifty-five percent of them also wanted hospital foods available to their caring relatives. (Korean J Community Nutrition 2(4) : 616-623, 1997)

• 종양간호연구
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• 제10권2호
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• pp.129-136
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• 2010

Purpose: This study was conducted to examine the relationship between stress and quality of life of family caregivers of patients with lung cancer. Methods: From April 18 to May 4, 2009, data were collected using self-report questionnaires with 95 family caregivers of lung cancer patients in G cancer center. The data were analyzed using descriptive statistics, t-test, ANOVA and pearson's correlation coefficient with SPSS 14.0. Results: The mean score of the stress level was 27.5 (SD=14.77). The mean score of the QOL was 73.0 (SD=17.86). The stress level of family caregiver showed significant difference according to gender (psychological stress p=.011, total level of stress p=.042) and availableness of second caregiver (physical stress p=.023, psychological stress p=.035, total level of stress p=.001). The QOL of family caregivers showed significant difference according to daily caring (positive adaptation p=.045) and financial burden on treatment expense (positive adaptation p=.004, total quality of life p=.043). The negative correlation was found between stress and QOL of family caregivers (r=-.67, p=.032). Conclusion: These results indicate a need to develop nursing intervention programs for family caregivers to reduce stress and improve QOL.

• 기본간호학회지
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• 제17권2호
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• pp.177-186
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• 2010

Purpose: The purpose of this descriptive study was to investigate the application of physical restraints in ICUs of a university hospital. Method: Data were collected from August 1 to October 1 2009, using a recording tool from Electric Nursing Records and an observation tool for physical restraints and related factors. Frequency, percentage, and paired t-test with the SPSS/WIN 16.0 program were used to analyze the data. Results: The application rate for physical restraints in 5 ICUs was 34.3%, the highest application rate was 48.4% in the neurosurgical ICU. The mean frequency for physical restraint application per patient was 1.14, and the mean hours of restraint application per incident was 113.01 hours. The most common complications of physical restraints were bruising and edema. Conclusion: Many ICU nurses use physical restraints when caring for patients who are at high risk for falls, including patients have high levels of acuity, decreased level of consciousness or increased irritability. When physical restraints are applied, patients show resistance against the use resulting in side effects of bruising and edema. Therefore, nurses should observe changes in restrain sites, perform nursing interventions to prevent complications, and minimize the use of physical restraints.

• 기본간호학회지
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• 제18권3호
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• pp.392-400
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• 2011

Purpose: This study was done to provide fundamental data to develop a simulation application working practice module and to develop a strategy that would improve team efficacy of students, as well as interpersonal understanding, and proactivity in problem solving after using the team based learning simulation. Methods: The participants were students in fourth year in C University and they participated in the simulation learning for 8 weeks from October to December 2010. The variables of team efficacy, interpersonal understanding, and proactivity in problem solving were measured and data were analyzed using SPSS WIN 17.0 program. Results: After applying the team based simulation learning, students' team efficacy, interpersonal understanding, and proactivity in problem solving improved significantly. Conclusion: The results indicate that the simulation module in this study gave the students experience in providing available and safe nursing care under conditions similar to reality and also underlined the importance of team competency for student nurses in caring for patients.